Healthcare Provider Details

I. General information

NPI: 1366423840
Provider Name (Legal Business Name): RICHARD ANTHONY AMATO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MARKET ST
BOARDMAN OH
44512-6725
US

IV. Provider business mailing address

2730 N MCMULLEN BOOTH RD SUITE 203
CLEARWATER FL
33761
US

V. Phone/Fax

Practice location:
  • Phone: 330-729-2729
  • Fax: 330-572-3836
Mailing address:
  • Phone: 727-286-8929
  • Fax: 727-286-8933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036082233
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME64512
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35.067430
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: